NPI | 1982803292 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RA0001X Internal Medicine, Advanced Heart Failure and Transplant Cardiology (Licence: ID MC-2847) |
Additional Taxonomies | 207RA0001X Internal Medicine, Advanced Heart Failure and Transplant Cardiology (Licence: KY 46700) |
208M00000X Hospitalist (Licence: NM MD2012-0465) | |
Enumeration Date | 2007-07-16 |
Last Update Date | 2024-07-15 |